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North Dakota rates for HCPCS V2112

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $73.48 / $73.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.63 / $102.64 / $129.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.57 / $55.57 / $87.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $33.34 / $441.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $26.62 / $53.24